Pennsylvania Medicare; PA; Medicare Part D in Pennsylvania
Pennsylvania Medicaid: Medicaid assistance and Pennsylvania Medicaid help Were you looking for Pennsylvania Medicaid instead of Pennsylvania Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.
Pennsylvania Medicare Coverage, Prescription Drug Plans
Pennsylvania Medicare Help Articles & Resources
Information from varied resources about Medicare in Pennsylvania
Important advice about how to use this
data: This Web Site links you to other Web Sites on the Internet. We cannot take responsibility for information found on third party Web sites outside our control. While we attempt to provide links only to Web Sites that comply with all applicable laws and regulations and appear to have responsible information, please understand that the content on these third-party Web Sites is subject to change without notice to us. We therefore cannot be responsible for, and accept no liability for, any information or opinion contained in any third-party Web Site. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.
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| brochure or publication: Your Guide to
Medicare Supplement Insurance (Pennsylvania)
source:Commonwealth of Pennsylvania Insurance Department file size: 9 pg. date: September, 2005 "In the past, shopping for your Medicare supplement — or “Medigap” — insurance was extremely confusing and difficult because companies offered policies with completely different benefits at a wide range of prices..." more from Commonwealth of Pennsylvania Insurance Department Medicare Web Page: Consumer Brochures and Topics: Medicare Prescription Drug Program languages: English source:Quality Insights of Pennsylvania, "Quality Insights of Pennsylvania wants you to get credible Medicare and wellness information, so we have provided these links to helpful Internet sites..." Pennsylvania Medicare Drug Plan Ratings source:AARP file size:5 pg. languages: English "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...." (Pennsylvania) PHCA urges Congressional leaders to oppose Medicare cuts source:Pennsylvania Health Care Association file size:2 pg. languages: English "...Pennsylvania would lose $140 million – ranking seventh nationally in funding cuts – if proposed Medicare changes are enacted..." source:Pennsylvania Department of Aging "Unless you are just becoming eligible for Medicare or have lost your existing prescription drug coverage, the next enrollment period begins on November 15, 2006 with your coverage beginning on January 1, 2007...." source:Medicare.gov, "The Official U.S. Government Site for People with Medicare" file size: 100 pg, available also in large print version languages: English Although the new Plan D Medicare program will bring changes to the MediGap programs, this brochure gives a basic understanding on choosing Medicare supplemental health insurance. There is brief information for residents of Pennsylvania." source:The National Mental Health Association file size: 42 pg. languages: English Information about new prescription coverage plans for Pennsylvania residents on both Medicare and Medicaid (Medicare Prescription Drug Plan Finder source:Medicare: The Official U.S. Government Site for People with Medicare languages: English Find and compare plans for all states, including Pennsylvania Medicare Prescription Drug plans Landscape: Pennsylvania Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:45 pg. languages: English date:October 2005 "Pennsylvania 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 29, 2006. Includes all contracts/plans regardless of 2007 approval status. PACE, Special Needs Plans, and Employer sponsored plans (800 series) are excluded." Medicare brochure or publication: Lanscape: Pennsylvania Stand-Alone Prescription Drug Plans source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:3 pg. languages: English "Pennsylvania 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded." |
How to get more information about Texas Medicare Prescription Drug Programs
Medicare.gov has summary information about the plans offered by the companies listed in the tables above. The data sheets are called "Landscapes".
- The Landscape of Local Plans is a list of all plans available in your area. You can get answers to important questions for people with Medicare based on what matters to them, including:
- Cost (premiums, deductibles and payments)
- Coverage (important issues around what and how drugs are covered)
- Convenience (pharmacy and mail-order options)
- Medicare.gov has an important help page that explains how to read and interpret the information in both Medicare Prescription Drug Plan "Landscapes. You can access the help page through this link: How to read the Medicare Prescription Drug Plans Landscape
- We have provided links to the landscape documents for this state in the list of publications above.
Medicare prescription drug coverage plans offered in Pennsylvania, Medicare Advantage Plans
Important advice about how to use this
data: The data for the table below came from www.medicare.gov, "The Official U.S. Government Site for People with Medicare", in December, 2006, and is subject to change at any time. To check for changes and the newest data, you should visit www.medicare.gov. Your state insurance administrator might have different data; be sure to check with them before making any decisions. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.
| Pennsylvania Prescription Drug Plans This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
|---|---|---|---|---|---|---|
| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Coverage in the Gap About the gap |
Contact Service Phones |
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| Humana PDP Standard S5884-064 (S5884-064) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| Humana PDP Enhanced S5884-005 (S5884-005) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| AdvantraRx Value (S5670-033) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| WellCare Signature (S5967-040) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| MedicareRx Rewards (S5960-006) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| AmeriHealth Advantage Rx Option l (S2770-001) |
AmeriHealth Advantage | No gap coverage | Non-Members 1-866-456-1694 TTY Users should call: 1-866-456-1963 Members 1-888-457-3007 TTY Users should call: 1-888-457-3007 |
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| AARP MedicareRx Plan (S5820-005) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| PacifiCare Saver Plan (S5921-092) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| BlueRx Basic (S5593-001) |
Highmark Senior Resources Inc. | No gap coverage | Non-Members 1-866-465-4030 TTY Users should call: 1-800-988-0668 Members 1-800-290-3914 TTY Users should call: 1-800-290-3914 |
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| First Health Premier (S5768-009) |
First Health Part D | No gap coverage | Non-Members 1-800-588-3322 TTY Users should call: 1-800-508-9548 Members 1-866-865-0662 TTY Users should call: 1-866-865-0662 |
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| United Medicare MedAdvance (S5820-109) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-556-6657 TTY Users should call: 1-888-556-7065 Members 1-888-556-7047 TTY Users should call: 1-888-556-7047 |
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| SilverScript (S5601-012) |
SilverScript | No gap coverage | Non-Members 1-866-552-6106 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| AdvantraRx Premier (S5670-034) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| MedicareRx Rewards Plus (S5960-042) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| Prescription Pathway Bronze Plan Reg 6 (S5597-071) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Community Care Rx BASIC (S5803-075) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Advantage Star Plan (S5644-072) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
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| Aetna Medicare Rx Essentials (S5810-040) |
Aetna Medicare | No gap coverage | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| YOURx PLAN (S5660-005) |
Medco YOURx PLAN | No gap coverage | Non-Members 1-800-758-3605 TTY Users should call: 1-800-716-3231 Members 1-800-758-4574 TTY Users should call: 1-800-758-4574 |
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| BlueRx Plus (S5593-002) |
Highmark Senior Resources Inc. | No gap coverage | Non-Members 1-866-465-4030 TTY Users should call: 1-800-988-0668 Members 1-800-290-3914 TTY Users should call: 1-800-290-3914 |
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| UA Medicare Part D Prescription Drug Cov (S5755-009) |
United American Insurance Company | No gap coverage | Non-Members 1-866-524-4169 TTY Users should call: 1-866-524-4170 Members 1-866-524-4169 TTY Users should call: 1-866-524-4169 |
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| Advantage Freedom Plan (S5644-051) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
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| AmeriHealth Rx Option 1 (S2321-001) |
AmeriHealth Rx | No gap coverage | Non-Members 1-866-456-1689 TTY Users should call: 1-866-456-1683 Members 1-888-678-7007 TTY Users should call: 1-888-678-7007 |
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| PacifiCare Select Plan (S5921-091) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| CIGNATURE Rx Value Plan (S5617-028) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| SecureRx (S8067-001) |
Avalon Insurance Company | No gap coverage | Non-Members 1-888-839-7330 TTY Users should call: 1-800-779-6961 Members 1-877-234-3853 TTY Users should call: 1-877-234-3853 |
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| WellCare Complete (S5967-074) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| UPMC for Life Prescription Drug Plan (S3389-005) |
UPMC Health Plan | No gap coverage | Non-Members 1-877-381-3765 TTY Users should call: 1-800-361-2629 Members 1-877-539-3080 TTY Users should call: 1-877-539-3080 |
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| Community Care Rx CHOICE (S5803-143) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Prescription Pathway Silver PlanReg 6 (S5825-076) |
American Progressive Life & Health Ins Co of NY | No gap coverage | Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members 1-800-698-8396 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Silver Plan Reg 6 (S5597-170) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Silver Plan Reg 6 (S5581-122) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| MedicareRx Rewards Premier (S5960-076) |
Unicare | Generic Only | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| WellCare Premier (S5967-109) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| PacifiCare Comprehensive Plan (S5921-093) |
UnitedHealthcare | Generic Only | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| AmeriHealth Rx Option ll (S2321-002) |
AmeriHealth Rx | No gap coverage | Non-Members 1-866-456-1689 TTY Users should call: 1-866-456-1683 Members 1-888-678-7007 TTY Users should call: 1-888-678-7007 |
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| CIGNATURE Rx Plus Plan (S5617-030) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| Aetna Medicare Rx Plus (S5810-142) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Community Care Rx GOLD (S5803-109) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| AdvantraRx Premier Plus (S5670-036) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
|||
| BlueRx Complete (S5593-003) |
Highmark Senior Resources Inc. | Generic Only | Non-Members 1-866-465-4030 TTY Users should call: 1-800-988-0668 Members 1-800-290-3914 TTY Users should call: 1-800-290-3914 |
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| CIGNATURE Rx Complete Plan (S5617-176) |
CIGNA HealthCare | Generic Only | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| Prescription Pathway Gold Plan Reg 6 (S5825-020) |
American Progressive Life & Health Ins Co of NY | No gap coverage | Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members 1-800-698-8396 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Gold Plan Reg 6 (S5597-038) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Gold Plan Reg 6 (S5581-026) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Sterling Prescription Drug Plan (S4802-003) |
Sterling Life Insurance Company | No gap coverage | Non-Members 1-888-909-1713 TTY Users should call: 1-888-858-8567 Members 1-866-865-0664 TTY Users should call: 1-866-865-0664 |
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| Aetna Medicare Rx Premier (S5810-176) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Humana PDP Complete S5884-034 (S5884-034) |
Humana Insurance Company | Generic and Brand | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| SilverScript Plus (S5601-013) |
SilverScript | No gap coverage | Non-Members 1-866-235-4582 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| AmeriHealth Rx Option lll (S2321-003) |
AmeriHealth Rx | Generic Only | Non-Members 1-866-456-1689 TTY Users should call: 1-866-456-1683 Members 1-888-678-7007 TTY Users should call: 1-888-678-7007 |
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| Prescription Pathway Platinum Plan Reg 6 (S5581-050) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Prescription Pathway Platinum Plan Reg 6 (S5825-034) |
American Progressive Life & Health Ins Co of NY | No gap coverage | Non-Members 1-800-825-8200 TTY Users should call: 1-866-222-3904 Members 1-800-698-8396 TTY Users should call: 1-850-432-1700 |
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| 10 Medicare Special Needs Plans in Pennsylvania This list is to familiarize you with Medicare Special Needs Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
|---|---|---|---|---|---|---|
| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Special Rules for Enrolling | Contact Service Phones |
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| AmeriHealth 65 (H3112-001-0) |
AmeriHealth 65 | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-866-282-3235 TTY Users should call: 1-888-857-4816 Members 1-800-645-3965 TTY Users should call: 1-877-219-5457 |
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| Elder Health Select (H3949-009-0) |
Bravo by Elder Health | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-291-0396 TTY Users should call: 1-800-964-2561 Members 1-800-291-0396 TTY Users should call: 1-800-964-2561 |
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| Evercare Plan DP (H3912-005-0) |
United HealthCare Insurance Company | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-866-297-9232 TTY Users should call: 1-888-685-8480 Members 1-866-810-1498 TTY Users should call: 1-888-685-8480 |
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| Evercare Plan IP (H3912-004-0) |
United HealthCare Insurance Company | For people in certain long-term care facilities. | Non-Members 1-866-297-9232 TTY Users should call: 1-888-685-8480 Members 1-800-393-0993 TTY Users should call: 1-888-685-8480 |
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| Gateway Health Plan Medicare Assured (H5932-001-0) |
Gateway Health Plan Medicare Assured | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-428-3929 TTY Users should call: 1-800-654-5988 Members 1-800-685-5209 TTY Users should call: 1-800-654-5988 |
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| Keystone 65 Complete (H3952-018-0) |
Keystone 65 | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-393-6733 TTY Users should call: 1-877-219-5457 Members 1-800-645-3965 TTY Users should call: 1-877-219-5457 |
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| Keystone 65 Complete (H3952-025-0) |
Keystone 65 | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-393-6733 TTY Users should call: 1-877-219-5457 Members 1-800-645-3965 TTY Users should call: 1-877-219-5457 |
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| Senior Partners Silver (H3964-002-0) |
Senior Partners | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-776-9466 TTY Users should call: 1-877-454-8477 Members 1-888-667-7367 TTY Users should call: 1-877-454-8477 |
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| Unison Advantage Plus (H3920-003-0) |
Unison Advantage | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-400-4003 TTY Users should call: 1-888-616-0021 Members 1-800-290-4009 TTY Users should call: 1-888-616-0021 |
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| UPMC for Life Specialty Plan (H3907-020-0) |
UPMC Health Plan | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-866-405-8762 TTY Users should call: 1-866-407-8762 Members 1-800-606-8648 TTY Users should call: 1-866-407-8762 |
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Long Term Care In Pennsylvania Topics, Web Sites, Help
|
| Long Term Care web page: Long Term Care in Pennsylvania
source:Pennsylvania Department of Aging "This website was designed to provide quick and easy access to comprehensive information about the many long term care and service options available throughout Pennsylvania. ..." source:PA Department of Health "Pennsylvania ranks 2nd in the nation for population aged 65 or over. This creates unique opportunities and challenges in promoting the ongoing health of our residents..." source:PA Department of Health "The Pennsylvania Health Care Association (PHCA) and its sister organization, the Center for Assisted Living Management (CALM), represent over 300 long term care and senior service providers that care for more than 60,000 elderly and disabled individuals across Pennsylvania..." |